| NPI | 1568711034 |
|---|---|
| Former Name | JACQUELINE FREEBERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DE C5-0001057) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2018-03-20 |